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A chimaeric-pattern flap design for implantable Doppler surrogate monitoring: a novel placement technique.

Identifieur interne : 002E35 ( Main/Exploration ); précédent : 002E34; suivant : 002E36

A chimaeric-pattern flap design for implantable Doppler surrogate monitoring: a novel placement technique.

Auteurs : Jeong Tae Kim [Corée du Sud] ; Samuel Y M. Ho [Singapour] ; Youn Hwan Kim [Corée du Sud]

Source :

RBID : pubmed:24365566

Descripteurs français

English descriptors

Abstract

Postoperative flap monitoring is a vital aspect of free tissue transfer in order to detect early vascular compromise and to enable early flap salvage. The implantable Doppler monitoring system is one of many monitoring devices used to ensure accuracy and reduce unnecessary flap explorations. However, there are a number of concerns with its use, namely tension on the anastomosis, possible vessel constriction and false-negative detection. This study aimed to alleviate these concerns, by introducing a new method of placing the implantable Doppler probe on the adjacent vessel limb of a chimaeric flap. This is illustrated by a case series of chimaeric free tissue flaps that allow this surrogate placement of the Doppler probe.

DOI: 10.1016/j.bjps.2013.10.045
PubMed: 24365566


Affiliations:


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Le document en format XML

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<term>Hand Injuries (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Maxillary Sinus Neoplasms (surgery)</term>
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<term>Débit sanguin régional</term>
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<div type="abstract" xml:lang="en">Postoperative flap monitoring is a vital aspect of free tissue transfer in order to detect early vascular compromise and to enable early flap salvage. The implantable Doppler monitoring system is one of many monitoring devices used to ensure accuracy and reduce unnecessary flap explorations. However, there are a number of concerns with its use, namely tension on the anastomosis, possible vessel constriction and false-negative detection. This study aimed to alleviate these concerns, by introducing a new method of placing the implantable Doppler probe on the adjacent vessel limb of a chimaeric flap. This is illustrated by a case series of chimaeric free tissue flaps that allow this surrogate placement of the Doppler probe.</div>
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